Does Parental Report of Having a Medical Home Attenuate the Negative Association Between Unmet Basic Needs and Health for Low-Income Children?

摘要

Background. It is unknown whether the medical home reduces the impact of adverse social determinants on lowincome child health. Objective. To examine whether the medical home attenuates the association between unmet basic needs and health for low-income children. Design/Methods. Secondary data analysis of the 2011-12 NSCH restricted to 200% FPL children (n=26 974). Multivariable logistic regression modeled child health with unmet basic needs to examine the effect modification of the medical home. Results. Low-income children with unmet needs had lower odds of “excellent/very good” health compared to children without unmet needs, regardless of the medical home [aOR=0.78 (0.61-0.99) vs aOR=0.77 (0.63-0.94), P=.01), respectively]. The medical home did not modify the negative association between unmet basic needs and “excellent/very good” child health (P=.97). Conclusion. Having a medical home per parental report did not attenuate the negative relationship between unmet basic needs and lowincome child health.